Susan E Nicol Phd Llc

LBN: Susan E Nicol Phd Llc
Susan E Nicol Phd Llc is an health care organization with primary practice located at 4500 Park Glen Rd Suite 270, St Louis Park MN 55416-4871. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Susan E Nicol Phd Llc can be contacted via phone (952) 929-9478, or through Nicol, Susan E via phone (952) 929-9478.

Contact Information

Primary practice address
4500 Park Glen Rd Suite 270 St Louis Park MN 55416-4871
Phone: (952) 929-9478
Fax: (952) 929-9548
Website:
Map and Directions
Authorized official contact:
Name: Nicol, Susan E PHD
Phone: (952) 929-9478

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0182 Minnesota

Profile Details

NPI number 1609214311
LBN Legal business name Susan E Nicol Phd Llc
DBA Doing business as
Authorized official Nicol, Susan E PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2013
Last updated Jun 5th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609214311 NPPES
Minnesota MEDICAID 424352800

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